CONSTANCE LEE BALLEM LEACH CRNP
NPI 1548280381
Nurse Practitioner - Family in Philadelphia, PA

Active since July 21, 2006PECOS Enrolled
850 N 11TH ST, PHILADELPHIA, PA 19123(215) 769-1100 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2024, Apr 12, 2024 (2 updates tracked since 2024).

About Constance Lee Ballem Leach Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONSTANCE LEE BALLEM LEACH CRNP (NPI 1548280381) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP007552) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1548280381
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCONSTANCE LEE BALLEM LEACHCredential: CRNP
Location Address850 N 11TH STPhiladelphia, PA 19123-1957
Mailing Address135 E Lehigh AvePhiladelphia, PA 19125-1011 · (215) 425-5400 · Fax (215) 425-0918
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 21, 2006
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1548280381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP007552
850 N 11TH ST, Philadelphia, PA 19123

Secondary Practice Location 1

Location 12724 N 5th StPhiladelphia, PA 19133-2701 · Phone (215) 739-8777 · Fax (215) 739-9016

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Constance Lee Ballem Leach Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527029891
PECOS Enrollment IDI20041020000538
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Constance Ballem Leach reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
850 N 11TH ST
Philadelphia, PA 19123
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 58 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
850 N 11TH ST
Philadelphia, PA 19123
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Resources For Human Development, Inc
  • 121 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1200 CALLOWHILL ST, SUITE 101
Philadelphia, PA 19123
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 100 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
850 N 11TH ST, STEPHEN & SANDRA SHELLER 11TH STREET FAMILY HEALTH SERV
PHILADELPHIA, PA 19123
Psychologist (Clinical)
850 N 11TH ST
PHILADELPHIA, PA 19123
Social Worker (Clinical)
850 N 11TH ST
PHILADELPHIA, PA 19123
Nurse Practitioner (Psychiatric/Mental Health)
850 N 11TH ST
PHILADELPHIA, PA 19123
Nurse Practitioner
850 N 11TH ST
PHILADELPHIA, PA 19123
Nurse Practitioner
850 N 11TH ST
PHILADELPHIA, PA 19123
Physical Therapist
850 N 11TH ST
PHILADELPHIA, PA 19123
Clinic/Center
850 N 11TH ST
PHILADELPHIA, PA 19123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Constance Ballem Leach's NPI number?

The NPI number for Constance Ballem Leach is 1548280381. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Constance Ballem Leach located?

Constance Ballem Leach practices at 850 N 11th St, Philadelphia, PA 19123. The listed phone number is (215) 769-1100.

What is Constance Ballem Leach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Constance Ballem Leach enrolled in Medicare?

Yes. Constance Ballem Leach is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Constance Ballem Leach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Constance Ballem Leach reassigns Medicare benefits to 3 organizations: Family Practice & Counseling Services Network, Inc. (Philadelphia, PA), Family Practice & Counseling Services Network, Inc. (Philadelphia, PA) and Public Health Management Corporation (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Constance Ballem Leach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Constance Ballem Leach accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Constance Ballem Leach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Constance Ballem Leach was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.